WebA claim with invalid NCD code can be submitted successfully on the Health PAS Online Portal, but the claim lines with the invalid NDC codes will deny. NDC codes should be 11 digits long and have a 5 4 2 format (example: 00703-5145-01). When adding NDC codes to your claims, hyphens are not needed, but 11 digits are required.

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WebClaim Adjustment Requests - online Add new data or change originally submitted data on a claim Claim Adjustment Request - fax Claim Appeal Requests - online Reconsideration of originally submitted claim data Claim Appeal Form - fax Claim Attachment Submissions - online Dental Claim Attachment - fax Medical Claim Attachment - fax WebHealthCare Partners, MSO Attn: Claims 501 Franklin Avenue, Suite 300 Garden City, NY 11530 EmblemHealth Behavioral Health EDI: Contact Beacon Health Options Paper: EmblemHealth Behavioral Health Claim Services P.O. Box 1850 Hicksville, NY 11802 … WebClaims (New Paper Claims Only) HMO P.O. Box 853908 . Richardson, TX 75085-3908 . PPO P.O. Box 852099 Richardson, TX 75085 -2099 . Claims Adjustments, Appeals, and Correspondence ADDRESS AllWays Health Partners . 399 Revolution Drive, Suite 810 Somerville, MA 02145 . FAX 617-526-1902 . COB Only . FAX 617-526-1918 . … is magnesium affected by lipemia